ASHLEY C AMEDEE

OUR LADY OF THE LAKE PHYSICIAN GROUP LLC

Dr ASHLEY C AMEDEE is a female medical professional, specializing in Nurse Practitioner. She graduated in 2010.

Contact

OUR LADY OF THE LAKE PHYSICIAN GROUP LLC

7777 HENNESSY BLVD
BATON ROUGE
LA
708080307

Tel:

ASHLEY C AMEDEE Information

Npi 1962719690
Pac Id 1355533175
Professional Enrollment Id I20101011001160
Last Name AMEDEE
First Name ASHLEY
Middle Name C
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2010
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
Group Practice Pac Id 4587849781
Number Of Group Practice Members 439
Line 1 Street Address 7777 HENNESSY BLVD
Line 2 Street Address
Marker Of Address Line 2 Suppression Y
City BATON ROUGE
State LA
Zip Code 708080307
Phone Number
Hospital Affiliation Ccn 1 190064
Hospital Affiliation Lbn 1 OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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